US20190209272A1

US20190209272A1 - Methodology for the realization of an orthodontic functional device for the treatment of facial asymmetries

Info

Publication number: US20190209272A1
Application number: US16/312,550
Authority: US
Inventors: Clelia Lettieri
Original assignee: Individual
Current assignee: Individual
Priority date: 2016-06-27
Filing date: 2017-06-26
Publication date: 2019-07-11
Also published as: US10952823B2; CA3027174A1; WO2018002700A1; EP3474771A1; EP3474771B1; DK3474771T3; JP2019524397A; ITUA20165257A1

Abstract

The object of the present invention relates to a method for the production of an orthodontic functional device for the treatment of facial asymmetries. The present invention refers to the field of the technique comprising the manufacturing methods and the technique used to make orthodontic appliances. Specifically, it refers to a methodology that allows the artwork to be performed without making the operator dependent based on a cephalometric frontal path created by a computer so without ever contacting the patient with a functional orthodontic device for the treatment of facial asymmetries. Facial asymmetry is an alteration in skeletal growth that can be determined by several congenital or acquired factors that in patients with skeletal development in place. They exemplify the pathogenetic action by altering the functional harmonics of the entire stomatognathic apparatus.

Description

BACKGROUND OF THE INVENTION

1. Field of the Invention

The object of the present invention relates to a method for the production of an orthodontic orthopedic functional apparatus for the treatment of facial asymmetries. The present invention refers to the field of the technique comprising the manufacturing methods and the technique used to make orthodontic appliances. Specifically, it refers to a methodology that allows the artwork to be performed and without making the dependent operator, operation based on a cephalometric frontal tract generated by a computer so without ever coming into contact with the patient, a device functional orthodontic orthopedic for the treatment of facial asymmetries.

2. Brief Description of the Prior Art

Facial asymmetry is the alteration of skeletal growth which can be determined by several congenital or acquired factors that in skeletal development patients undergoing pathogenesis by altering the harmonic functionality of the whole stomatognathic apparatus. Among the unilateral development asymmetries there are congenital forms such us Hemifacial Microsomy, and shapes acquired as the outcome of condylar fractures that find the most pathological manifestation in cases where an ankylosis of TMJ is determined. The Hemifacial Microsomia manifests itself as a more or less acute structural and functional alteration of the maxilla facial complex. The goals of functional orthodontic therapy are to stimulate the functions of the stomatognathic system to perform vicarious functions for the absent structures and to stimulate a differential increase on both sides. Fractures of the mandibular condyles are a traumatic pathology often encountered in children following accidental falls and even in these cases the correct diagnosis and detection of anatomic damage will suggest the most appropriate orthodontic or surgical treatment to be performed. Facial symmetry break the equilibrium and symmetry of the line of the face and jaw. This problem reduce self-esteem, malnutrition can also cause mandible disabilities when bitten or masticated, in addition to digestion problems. To date, there are several orthodontic appliances to correct this disease. However, most of them act indirectly on the problem by inserting interlocking thickness on the healthy side and placing a guide on the other side in order to correct the disease. Using these devices involves very long therapy times, most of them also require the patient to keep them in their mouths all the time; these types of device require high patient collaboration so therapy cannot start at a very early age.

SUMMARY OF THE INVENTION

However, in the state of the art is an innovative functional orthodontic device for the treatment of facial asymmetries which aims to increase the mandible's verticality in order to correct asymmetry less invasively than current device such as the presented in the patent document with application number PCT/IB2015/000277. This device consists in a bite (18) which Cover the upper arch having a thickness corresponding to the front portion of the asymmetrical side which starts from the canine descending proportionally to the molar Table 2. FIG. 2 and FIG. 3. The bite (18) is provided with an anatomic shield (22) in the fornix to be applied on the asymmetrical side of the bite (I8) and having the inclined occlusal surface of an angle equal to the mandibular asymmetry angle (16) having a border (20) from about one millimeter on the occlusal surface (19) of the asymmetrical portion of the canine to the molar at the vestibular cusp of the lower arch.

BRIEF DESCRIPTION OF THE DRAWINGS

Tab 1 FIG. 1 is a view of the frontal cephalometric path generated by a computer on which reference points for the construction of the bite (18) and shield (22) are taken into account.

Tab 2 FIG. 2 is a prospective view of the patient's dental imprint (21) on which the bite is made (18)

Tab. 2 FIG. 3 is a prospective view of the orthodontic functional device for the treatment of facial asymmetries realized using the methodology presented by this patent application.

DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS

The benefits of using this device are many. It is applied to upper arch, the application requires little work on the operator's dental chair, directly stimulates the mandible, the patient is not obliged to have his mouth closed, but only the search for contact during the swallowing, simplicity of the device which allows very early start of the functional therapy and prevents the structure of defect in the muscles, soft tissues etc. does not require a great collaboration of the patient, it can also be used only after dinner and during the night. The technical problem in the state of the art relates to the physical realization of this type of apparatus which has nowadays been empirically characterized, relying solely on the skill and experience of the technician who builds it on the basis of a dental cast (21) of the patient Table 2 FIG. 2 and FIG. 3. The purpose of the invention, object of the present invention, is therefore to provide a methodology that allows anyone to do this artwork starting from a cephalometric frontal tract generated by a computer, so without ever contacting the patient. According to another object, the object of the present invention is to provide a methodology for making a functional orthodontic device for the treatment of facial asymmetries in a fully automatic manner, for example, by utilizing 3D printing techniques. According to another purpose, the object of the present invention provides the orthodontic functional apparatus for the treatment of facial asymmetries even at a distance by simply transmitting the data relating to the cephalometric tract generated by a computer. The object of the present invention achieves the foregoing purpose as it is a method for the realization of an orthodontic, orthopedic functional apparatus for the treatment of facial asymmetries comprising the steps of:

- Mapping of the vertical facial symmetry axis (3) by connecting the orbital midpoint (I) to the apex of the nasal septum (2) on a front cephalometric path generated by a computer Tab. 1 FIG. 1;
- Plotting the bipupillar axis (5) by tracing a straight line that passes for the left lateral orbital point (7) for the left medial orbital point (6) for the right medial orbital point (8) and for the lateral orbital point right (9) Tab 1 FIG. 1;
- Connect the intersection point (10) between the vertical facial asymmetry axis (3) and the bipupillar axis (5) with the anatomic point (4) Tab. 1 FIG. 1;
- Measure the angle of mandibular asymmetry (16) that the axis of vertical facial asymmetry (3) forms with the passing line for the point of intersection (10) and the anatomic menton point (4) Tab. 1 FIG. 1;
- making a bite (18) covering the upper arch with the occlusal surface inclinating an angle equal to the mandibular asymmetry angle (16) having a rib (20) of about one millimeter on the occlusal surface (19) of the portion of the asymmetric side from the canine to the molar at the vestibular cusps of the lower arch Tab. 2 FIG. 2 and FIG. 3;
- draw a parallel line (14) to the vertical facial asymmetry axis (3) starting from the mandibular angle (11) on the asymmetrical side (12) Tab 1 FIG. 1;
- measure the angle of asymmetry (17) that the parallel line (14) forms with the medial inclined mandibular branch asymmetric side (12) Tab. 1 FIG. 1;
- realization of an anatomical shield (22) in the fornix to be placed on the asymmetrical side and with the inclination equal to the angle of condylar asymmetry (18) Tab 2 FIG. 3.

Therefore, it is possible to make the device in a state of art and without the risk of making mistakes related to the operator's limited experience.
Invaluable are the advantages of using this methodology that allows anyone and anywhere to create a functional orthodontic device for the treatment of facial asymmetries based on a frontal cephalometric tract generated by a computer without ever coming into contact with the patient. Anyone of the craft may better understand the invention by a detailed description of the drawing as follows.

Claims

1. A methodology for the realization of a functional dental brace for the treatment of facial asymmetry, comprising the following steps:

tracking of vertical facial asymmetry axis (3) by joining an average orbital point (1) with the apex of a nasal septum (2) on a frontal cephalometric tracing, generated by a computer.

tracking of pupil axis (5) by drawing a straight line passing approximately through a left side orbital point (7), for a left medial orbital point (6), for a right medial orbital point (8) and for a right tide orbital point (9);

connecting a point of intersection (10) between the axis of vertical facial symmetry (3) and the pupil axis (5) with the anatomical menton point (4);

measuring the angle of mandibular asymmetry (16) that an axis of vertical facial asymmetry (3) forma with the straight line passing through the intersection point (10) and the anatomical menton point (4);

fabricating a bite (18) which covers the upper arch, having the occluding surface (10) inclined by an angle equal to the angle of mandibular asymmetry (16), having a flange (20) that measures about one millimeter, on the occluding surface of the portion of the asymmetrical side from the canine up to the molar, in correspondence of the buccal cusps of the lower arch;

tracking a line (14) parallel to the axis of vertical facial symmetry (3) starting from the lower jaw (11) asymmetric side;

measuring the angle of condylar asymmetry (17) that the parallel line (14) forms with the mandibular inclined ramus medial asymmetric side (12);

fabricating an anatomical shield (22) In the fornix, to be affixed on the asymmetric side of the bite (18) inclined In the angle of condylar asymmetry (17).

2. The methodology for the realization of a functional dental brace for the treatment of facial asymmetry, according with claim 1, wherein said bite (18) and the shield (22) can be fabricated in a fully automatic way by a 3D printer or similar.